Individual provider · Type 1 NPI
Annie Jane Xiao Xiao Cannon, PA-C
Surgical Physician Assistant · Park City, UT
NPI number
1225737513
Active
Practice location
900 Round Valley Dr
Park City, UT 84060-7552
Mailing address
2648 E Casto Ln
Salt Lake City, UT 84117-6303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 14245481-1206 (UT) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Park City
- William R. Mathie, PASurgical Physician Assistant Park City, UT NPI 1255517488
- Melissa Ricks, PA-CSurgical Physician Assistant Park City, UT NPI 1255755617
- Charles Dupaix, PA-CSurgical Physician Assistant Park City, UT NPI 1275909418
- Jonathan Caleb PriorSurgical Physician Assistant Park City, UT NPI 1578279410
- R Steven KlattSurgical Physician Assistant Park City, UT NPI 1710995386
- Steven Pearmain, PA.CSurgical Physician Assistant Park City, UT NPI 1720096324
- Troy Johnson, PA.CSurgical Physician Assistant Park City, UT NPI 1730197252
About NPI 1225737513
Annie Jane Xiao Xiao Cannon, PA-C's National Provider Identifier is 1225737513, issued on Feb 27, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Park City, UT. The record was last updated on Nov 9, 2025.